1 2 3 4 5 6 IN THE JUSTICE COURT OF __________________________ TOWNSHIP 7 IN AND FOR THE COUNTY OF _________________, STATE OF NEVADA 8 9 Name: Address: 10 11 Phone: ______________________ ______________________ ______________________ ______________________ Landlord/Plaintiff 12 vs. CASE NO: ________________ 13 14 Name: Address: 15 Phone: 16 17 18 _____________________ _____________________ _____________________ _____________________ Tenant/Defendant DEPT. NO:________________ ORDER REGARDING ILLEGAL LOCKOUT OR UTILITY SHUT-OFF 19 20 21 22 IT IS HEREBY ORDERED that the Tenant’s request for relief is: _____ DENIED, and _____ Although the Tenant did not prevail, the Court 23 hereby waives the assessment of costs of fees 24 against the Tenant. 25 _____ Tenant shall be assessed $_____________ in 26 costs and fees for failure to prevail in this 27 case. 28 Apartment Court Order Regarding Illegal Lockout or Utility Shutoff Form #30 1 of 2 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 OR 2 3 _____ GRANTED, and Tenant is entitled to the following relief: 4 _____ Statutory damages in the amount of 1,000.00. 5 _____ Additional in the amount of $________________. 6 _____ 7 8 damages No damages. AND LANDLORD IS HEREBY ORDERED TO RESTORE 9 _____ Access to the premises. 10 _____ All utilities and essential services that were previously terminated; and 11 LANDLORD IS 13 COMMITTING FURTHER 14 118A.390. 15 VIOLATIONS, 16 CONTEMPT OF COURT; and 17 _____ Landlord shall be assessed $________________ 18 in costs and fees for failure to prevail in this case. 19 _____ The Court hereby waives the assessment of costs 12 _____ HEREBY ENJOINED VIOLATIONS FROM OF NRS IF LANDLORD COMMITS ANY FUTURE LANDLORD MAY BE HELD IN and fees against Landlord. 20 21 22 IT IS SO ORDERED. 23 24 25 ____________________________ DATED ___________________________ JUSTICE OF THE PEACE 26 27 28 Apartment Court Order Regarding Illegal Lockout or Utility Shutoff Form #30 2 of 2 ©2006 Nevada Supreme Court Revised: April 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com